Individual provider Active NPI

Fred R Wurster, DO

  • Family Medicine Physician
  • Lapeer, MI
National Provider Identifier
1821079666
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101009054 Issued in MI
Practice address
1257 N Main St
Lapeer, MI 48446-1346
Phone
(810) 660-7902
Fax
(810) 660-7904
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101009054 MI Primary

Addresses

Primary practice location

1257 N Main St
Lapeer, MI 48446-1346

Mailing address

PO Box 1074
Lapeer, MI 48446-5074
Phone (810) 660-7902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091211000041 MI Practitioner - Family Practice 0244370906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteopathic Physicians and Surgeons of Los Angeles, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1257 N Main St
Lapeer, MI 48446-1346
Phone (810) 660-7902

Hospital & facility affiliations

  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101009054MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fred Wurster DO PC Family Medicine CurrentSince Jun 1, 2010 Accepting new patients

Locations

1257 N Main St
Lapeer, MI 48446
Phone (810) 664-4526

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1821079666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1074",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484465074",
            "telephone_number": "810-660-7902",
            "fax_number": "810-660-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 N MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461346",
            "telephone_number": "810-660-7902",
            "fax_number": "810-660-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURSTER",
        "first_name": "FRED",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.